AN ASSESSMENT OF THE CONTENT OF MEDICAL PRACTICE IN THE UNITED STATES: PROFILES OF PHYSICIANS IN FIVE SPECIALITIES

The University of Southern California has conducted a series of 24 surveys of the professional activities of physicians and surgeons in the United States. The surveys encompass more than 10,000 respondents representing 65.8% of all practising physicians in the United States and its territories. Using a specially‐developed “log‐diary” recording instrument, these physicians reported data on the care they provided during hundreds of thousands of encounters with their patients. This article provides an exposition of the study's unique methodology, presents illustratative data for 5 of the 24 specialities surveyed (cardiology, family practice, general internal medicine, orthopaedic surgery and psychiatry), and discusses the study's relevance and implications for medical education.     

Critical realist review: exploring the real,beyond the empirical

This article defines the ‘critical realist review’, a literature-based methodological approach to critical analysis of health care studies (or any discipline charged with social interventions) that is robust, insightful and essential for the complexities of twenty-first century evidence-based health and social care. We argue that this approach, underpinned by a critical realist philosophy and methodology, will facilitate students and researchers to employ relevant theoretical insights from a range of disciplines that have necessary contributions to make to our understanding of health and social care practice and provision. We explore the limitations of randomised controlled trials (RCTs) and the systematic review for informing evidence-based health and social care. The article also offers some suggestions on method, although, as we argue, the approach deliberately eschews a ‘cookbook’ approach. A glossary of terms is provided in the Appendix.     

A taxonomy of emotion and cognition for student reflection: introducing emo-cog

ABSTRACT

Reflective practice can support student learning by enabling praxis: the bridging of the theory of the classroom with the students’ learning experience. Students’ written reflections are the most common mode for practising and documenting reflection. Available typologies for coding the level of student written reflections focus on the cognitive domain. The coding of student reflection data from four locations (Australia, Denmark, Hong Kong and South Korea; n?=?760) revealed that the focus on the cognitive domain could not capture the role and contribution of the affective domain of reflection for learning. This study conceptualises and presents our new two-domain emo-cog taxonomy, together with empirical evidence to substantiate a new way of thinking about reflection for learning. Emo-cog identifies multiple levels of affective responses along with traditional cognitive reflections. Emotions are found to make a significant contribution to student reflections. Learning is clearly a matter of head and heart.     

Urban jungle,Ferguson: Rhetorical homology and institutional critique

In this article, I use the rhetorical homology of the urban jungle to conduct an institutional critique of law enforcement in Ferguson, MO, after Michael Brown was killed. Rhetorical homologies and institutions intersect where language and practice coalesce, which is to say where group consciousness takes material forms. I investigate how, in news coverage of Ferguson, a common form was present across verbal devices and nonverbal practices at macro and micro levels that constituted black neighborhoods as subterranean spaces that needed colonization or containment, as frontier scenes with a savage character logic imposed upon its residents. The homology inscribes particular meanings into black and white skin colors with Anglophile cultural codes, which establishes a savage/explorer binary and keeps black people and spaces invisible, impoverished, and susceptible to racialized policing. The tools of institutional critique—postmodern mapping, boundary interrogation, and micro/macro alignment—inform the discourses and practices of those entrusted to keep daily realities well ordered and organized and to safeguard the social systems of everyday life. Scholars can use homology as a strategy to decode why institutional representatives include some and exclude others, and how they naturalize violence in the name of public service.     

Longitudinal Genetic Analysis of Early Reading: The Western Reserve Reading Project

We examined the genetic and environmental contribution to the stability and instability of reading outcomes in early elementary school using a sample of 283 twin pairs drawn from the Western Reserve Reading Project. Twins were assessed across two measurement occasions. In Wave 1, children were either in kindergarten or first grade. Wave 2 assessments were conducted one year later. Results suggested substantial genetic stability across measurement occasions. Additionally, shared environmental influences also accounted for stability, particularly for variables more closely tied to direct instruction such as phonological awareness, letter knowledge, and word knowledge. There was also evidence for independent genetic and shared environmental effects, suggesting that new sources of variance may emerge as the demands of school change and children begin to acquire early reading skills.     

Scholarly Productivity of Editorial Board Members of Three American Counseling and Counseling Psychology Journals

The scholarly journals in professional and scientific fields serve the function of communicating new knowledge and informed discourse on the major issues affecting the field of counseling, and editorial board members (EBMs) serve as gatekeepers of what information will be communicated. The ability of EBMs to make sound judgments directly affects the quality of research and scholarship published. This study analyzed one important EBM qualification, the scholarly productivity of the editorial board members of three major American counseling journals (The Counseling Psychologist [TCP], the Journal of Counseling Psychology [JCP], and the Journal of Counseling and Development [JCD]). An analysis of the productivity rates of editorial board members on these journals was conducted using the PsycINFO database. The results indicated that editorial board members of JCP have significantly more experience publishing than members of TCP and JCD. The differential publication rates of editorial board members suggest that these three journals place different emphasis on scholarly productivity as part of their selection criteria for editorial board membership and may reflect that the three journals have different missions and serve different clientele. These findings have implications, not only for the profession of counseling in the United States, but also for the international counseling community.This article is dedicated to our esteemed colleague, Stephen G. Weinrach, who died after a long and courageous battle with leukemia on April 24, 2004. This article was the last that Steve was working on prior to his death. It was his brainchild. The contributions that Steve made to the counseling profession over the years are inestimable. He was truly through his numerous writings and professional association activities the “conscience of the couseling profession.” He is dearly missed.     

Immersion,Reflection, Failure: Teaching Graduate Students to Teach Writing Online

ABSTRACT

A common challenge facing those who prepare graduate students to teach writing online is the need to help those students connect online writing instruction (OWI) theory with their classroom practice. The authors present how graduate students are prepared to teach writing online at three universities and then synthesize those approaches to highlight three principles that can guide effective OWI preparation for graduate students in any program: immersion, reflection, and failure.